老年胃肠肿瘤病人术前多模式预康复  

Preoperative multimodal prehabilitation for elderly patients with gastrointestinal tumors

作　　者：孙钰淇 周岩冰[1] SUN Yu-qi;ZHOU Yan-bing(Department of Gastrointestinal Surgery,the Affiliated Hospital of Qingdao University,Qingdao 266003,China)

机构地区：[1]青岛大学附属医院胃肠外科,山东青岛266003

出　　处：《中国实用外科杂志》2024年第11期1313-1316,共4页Chinese Journal of Practical Surgery

基　　金：山东省自然科学基金项目(No.ZR2021MH001)。

摘　　要：衰老和虚弱可造成机体易感性增加、生理储备下降,使得机体应对胃肠道肿瘤治疗的耐受性较差,常出现不良临床结局。以改善术前高危人群的功能能力、营养及精神心理状态为目标的多模式预康复,具有提高病人手术应激耐受性,促进恢复,改善临床结局,以及提高生活质量等诸多益处。依托高质量的循证医学证据和多学科共同合作,合理制定多模式预康复方案、确定干预时机、评估临床结局并考量社会经济成本效益,探索符合中国特色的老年胃肠肿瘤预康复策略势在必行。Aging and frailty lead to increased susceptibility to stressors,decreased physiological reserves,poor tolerance to tumor treatments,and ultimately increased risk of adverse outcomes.The multimodal prehabilitation program,aiming at improving preoperative physical activity,nutrition,and psychological readiness for high-risk populations,offers numerous benefits for increasing resistance to surgical stress,promoting postoperative recovery,optimizing clinical outcomes,and enhancing the quality of life.Relying on high-quality evidence-based medical evidence and multidisciplinary cooperation,reasonably formulating multimodal prehabilitation program,determining intervention timing,assessing clinical outcome,and considering socio-economic cost-effectiveness to explore the gastrointestinal tumor prehabilitation strategy for the elderly that are consistent with Chinese characteristics are imperative.

关 键 词：胃肠道肿瘤 老年医学 虚弱 多模式预康复 加速康复外科 

分 类 号：R6[医药卫生—外科学]